When to Refer a Patient to a Physician

Pediatric patients should be referred to physicians if any of the following symptoms are present:

  • skin rash
  • chronic cough
  • “bark like” cough
  • stridor
  • hoarseness
  • constant ear pain or pulling/tugging at ears
  • seizure or convulsion recently
  • rapid or difficulty breathing
  • severe abdominal pain or cramping
  • diarrhea > 2 days
  • vomiting > 12 hours
  • infant not feeding or had fewer wet diapers than normal
  • cold or flu > 7 days
  • child can’t be comforted or is unusually quiet
  • child has a temperature for more than 2 days
  • child with an oral temperature > 102 degrees Fahrenheit
  • an infant < 3 months of age with a rectal temperature of > 100.4 degrees Fahrenheit or < 97.5 degrees Fahrenheit

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